Doctor Answers 9
Capsule formation is normal in breast augmentation
due to poor placement.
Capsule formation is a normal part of breast augmentation, but when it goes hard it has contracted and the causes of this are not totally understood.
I suggest that you need to be reviewed in the near future but I certainly would not entertain any form of corrective surgery until after you have had your baby.
I hope this helps, all the best.
Thank you for your photo and your question.It is very difficult to evaluate whether or not you should have a capsular contracture without an in-person examination.The fact that you are currently 7 months pregnant, requires that you would wait for any surgical intervention until after your baby is born.My advice is to consult with a board certified plastic surgeon after the delivery of your child.I wish you the best luck.
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Post Op Complication
Thank you for your question. I'm sorry to hear about the issues that you have had, though they do not seem related to a problem with placement. If you are pregnant it will likely be best that you wait until your body has settled at least a few months after surgery before considering surgery. I recommend that you follow up closely with your Plastic Surgeon for advice.
All the best!
The hallmark of contracture is one breast becoming firm and moving up towards your collarbone causing the nipple to rotate downward and can even be painful. Capsular Contracture is not well understood, and a single cause has not been identified. Leading theories include: subclinical venous bleed, low level bacterial contamination and/or biofilm, lint contamination from sterile drapes and genetic predisposition. Since the cause is unknown, treatment typically involves addressing all possible causes. There are four grades of contracture. Grade I is normal, looks good and feels soft and does not require treatment. Grade II feels firm but otherwise looks good. Grade III feels firm and looks distorted at rest. Grade IV feels firm, looks distorted at rest and is painful. Aggressive massage +/- Leukotriene Inhibitors can improve/soften Grade II contracture but in Dr. Feldman’s experience rarely improve the superior malposition present in Grade III and Grade IV contracture. These respond best to surgical revision/capsulectomy and implant exchange. Hope this helps.
With you being pregnant, any consideration of further treatment needs to be delayed until your breasts have settled. At that stage, I would suggest you seek an opinion from a BAAPS member.
I hope your pregnancy goes well.
Remove or replace breast implants?
Late seroma, rule out implant associated ALCL
There can be many causes of a late seroma and a persistent late seroma should have fluid sent off to make sure it is not something more worrisome, including implant associated ALCL. The American Society of Plastic Surgery has great resources on this. Follow up with your board certified plastic surgeon is important. Best, MMT
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